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General NPI Number Information
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NPI Number | 1851413561
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Entity Type | Organization
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Legal Business Name | BLOWING ROCK HOSPITAL
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 418 CHESTNUT DRIVE
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City | BLOWING ROCK
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State | NC
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Zip | 28605
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Country | US
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Telephone | 828-295-3136
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Fax | 828-295-4587
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Provider Business Mailing Address
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Address Line | 418 CHESTNUT DRIVE P.O. BOX 148
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City | BLOWING ROCK
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State | NC
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Zip | 28605
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Country | US
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Telephone | 828-295-3136
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Fax | 828-295-4587
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Authorized Official
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Title or Position | SR VP MEDICAL STAFF SERVICES
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Name | MRS. MARY ETTA LONG
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Credential | RHIA-CPMSM
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Telephone | 828-262-4133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 3414822
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License Number State | NC
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